Ese amagufwa yawe arakomeye kandi arababaza? Reka twige kuri iyi (Osteitis Fibrosa Cystica - OFC)!

Ese hari igihe wumva ububabare mu mubiri wawe, cyane cyane mu magufwa yawe? Cyangwa wumva amagufwa yawe arimo kuvunika nubwo haba hari ikintu na kimwe? Wenda hari ikibazo kiri inyuma y'ibi bintu tutavugaho cyane, ariko ni ngombwa kumenya. Imwe muri izo ndwara ni `(Osteitis Fibrosa Cystica - OFC)`. Nubwo iri zina rishobora gusa n'aho rigoye, reka tubisobanure mu buryo bworoshye.

Osteitis Fibrosa Cystica (OFC) ni iki?

Mu magambo make, `(Osteitis Fibrosa Cystica - OFC)` ni indwara idakunze kugaragara yibasira amagufwa yacu. Ifitanye isano itaziguye n'uturemangingo twa parathyroid mu mubiri wacu. Wigeze kumva iby'uturemangingo twa tiroyide. Inyuma yatwo hari utu turemangingo tune twa parathyroid. Utu turemangingo dukora imisemburo ya parathyroid (`Parathyroid Hormone - PTH`) .

Iyi hormone ya `(PTH)` ni ingenzi cyane kugira ngo amagufwa yacu akomeze gukomera no kugira ubuzima bwiza. Inafasha kandi kugenzura urugero rwa kalisiyumu mu maraso. Ariko, tekereza, bigenda bite iyo iyi hormone ya `(PTH)` ikozwe cyane, ni ukuvuga nyinshi cyane? Ni bwo ikibazo gitangira. Kubera iyo `(PTH)` irenze urugero, aho gukomeza amagufwa, agenda atangira gucika intege buhoro buhoro . Uko igihe kigenda gihita, imiterere y'amagufwa ishobora guhinduka, kandi ibintu nk'imyobo (nk'uturemangingo twuzuye amazi) na byo bishobora kwirema imbere.

Iyi PTH irenze urugero ishobora gutuma urugero rwa kalisiyumu mu maraso rwiyongera, bigatera kugaragara kw'amabuye mu mpyiko, umuvuduko ukabije w'amaraso (hypertension), ndetse n'umutima unanirwa gukora neza.

Iyi ndwara yitwa `(OFC)` n'andi mazina menshi. Ushobora kuba warumvise aya mazina:

• `` Indwara ya Von Recklinghausen yamagufwa ''
• `Osteitis fibrosa`
• `Cystica rusange`
• `Osteodystrophia fibrosa`
• Ikibyimba cy'umukara mu magufwa . Ntugahangayikishwe n'iri zina. Nubwo rivuga `(Tumor)`, ntabwo ari `"Cancer``. Iri zina rikoreshwa kubera ko abantu bafite `(OFC)` bafite utudomo tw'umukara tugaragara bitewe no kuva amaraso n'uturemangingo tw'imitsi mu magufwa yabo. Ariko mu by'ukuri si `(Tumor)` ya kanseri.

Amagambo "(Osteitis Fibrosa Cystica)" asobanura ikintu nk' 'gushonga kw'amagufwa no kurema cyst'. Rero, iyo urugero rwa `(PTH)` rwiyongereye, amagufwa ashobora kwangirika igihe icyo ari cyo cyose. Ariko, iyo iyi ndwara yitwa `(Hyperparathyroidism)` (ni ukuvuga umusaruro mwinshi wa `(PTH)`) imenyekanye kandi ikavurwa hakiri kare, iyo ndwara ya `(OFC)` ishobora gukira cyangwa kwirindwa ko ikura.

Iyi ndwara (OFC) ikunze kugaragara gute?

Noneho ushobora kwibaza uburyo iyi ndwara ikunze kugaragara. Mu by'ukuri, ni gake cyane mu bihugu bifite ubuvuzi bwiza . Urugero, ndetse no muri Leta Zunze Ubumwe za Amerika, munsi ya 5% by'abantu bafite hyperparathyroidism barwara OFC. Ikunze kugaragara cyane ku bantu bafite hyperparathyroidism ikomeye batavuwe igihe kirekire.

Ariko mu bihe byashize, ibi byari bikunze kugaragara cyane. Mu myaka igera kuri mirongo itanu ishize, abantu bagera kuri 69% barwaye "Hyperparathyroidism" barwaye iyi ndwara y'amagufwa. Ariko hamwe n'iterambere rya siyansi y'ubuvuzi, cyane cyane hamwe n'ibizamini by'amaraso bisanzwe, izi ndwara zashoboye kumenyekana no kuvurwa vuba. Ese ibyo si ibintu byiza cyane?

Ni ibihe bimenyetso by'iyi ndwara (OFC)?

Noneho reka turebe ibimenyetso bishobora kubaho muri iyo ndwara `(Osteitis Fibrosa Cystica)`.

Ibimenyetso by'ingenzi ni ibi bikurikira:

• Ububabare bw'amagufwa . Iki ni cyo kintu cya mbere abantu benshi bumva. Hari igihe bishobora no kubabaza gukora ku igufwa.
• Kuvunika . Amagufwa, cyane cyane ayo mu maboko, amaguru, cyangwa uruti rw'umugongo, ashobora kuvunika byoroshye. Ndetse no kugwa gato bishobora kuvunika igufwa.

Mu ntangiriro z'iyi ndwara, ibimenyetso bikurikira bishobora no kugaragara (ibi bishobora no kuba ibimenyetso bya "Hyperparathyroidism"):

• Kumva unaniwe igihe cyose (`Umunaniro`).
• Intege nke.
• Isesemi no kuruka.
• Kwihagarika impatwe.
• Gusohora inkari nyinshi kurusha uko bisanzwe (`Polyuria`). Ibi bivuze ko ugomba kujya mu bwiherero kenshi.

Niba ufite ibi bimenyetso, ntukifatire umwanzuro ku giti cyawe uti “Oh, ibi ni `(OFC)'.” Kuko ibi bimenyetso bishobora no kugaragara mu zindi ndwara. Ariko ni ingenzi cyane kubimenya no kubimenyesha muganga.

Ni izihe mpamvu zitera (OFC)?

Ni iki gitera Osteitis Fibrosa Cystica? Nkuko nabivuze mbere, impamvu nyamukuru ibitera ni Hyperparathyroidism idakira . Ni ukuvuga ko imvubura zacu za Parathyroid zikora PTH nyinshi cyane. Ibi bishobora kubaho mu buryo bubiri bw'ingenzi:

1. Hyperparathyroidism y'ibanze: Ibi biterwa n'ikibazo cy'uturemangingo twa parathyroid. Utu turemangingo dushobora kuba turwaye kanseri (kanseri) cyangwa tukaba dufite igikuriro kitari kanseri (nk'agahu gatera kanseri) bigatuma dukora PTH nyinshi cyane. Cyangwa uturemangingo twose uko ari tune dushobora kuba twagutse (hyperplasia) kandi tugakora imisemburo myinshi cyane.

2. Hyperparathyroidism ya kabiri: Ibi bibaho bitewe n'indi ndwara. Urugero, iyo umuntu arwaye impyiko zidakira, calcium na vitamine D mu mubiri we birahungabana. Hanyuma, mu gusubiza, uturemangingo twa parathyroid dutangira gukora PTH nyinshi. Nanone, iyo habayeho kubura vitamine D cyane, calcium mu maraso iba nke, bityo uturemangingo twa parathyroid dukora cyane kugira ngo twongere calcium. Muri icyo gihe, imisemburo ya PTH nayo irazamuka, kandi uko igihe kigenda gihita, Osteitis Fibrosa Cystica ishobora kuvuka.

Tekereza, nyirasenge Kamala yari amaze igihe kinini arwaye ibibazo by'impyiko. Ntiyafashe umuti ukwiye. Nyuma y'igihe runaka, imyakura ye ya `(Parathyroid)`, irwana no kugenzura kalisiyumu mu mubiri we, yatangiye gukora `(PTH)` nyinshi kuruta uko byari bikwiye. Amaherezo, nyirasenge Kamala yagize `(OFC)` hamwe no kubabara amagufwa. Urabyumva isano iri hagati y'ibi?

Ni izihe ngorane zishobora guterwa na (OFC)?

Ingorane nyamukuru za hyperparathyroidism idavuwe na OFC ni izijyanye n'amagufwa. Ibi bivuze ububabare, ubumuga bw'amagufwa (impinduka mu miterere), no kuvunika byoroshye . Ibi ni ibintu bigaragara ako kanya. Umuntu ashobora no kugabanya uburebure.

Ariko, uretse ibi, hari n'izindi ngorane zishobora kubaho. Izo ni:

• Iremwa ry'amabuye mu mpyiko.
• Kunanirwa kw'impyiko.
• Ingufu nke, umunaniro uhoraho.
• Ububabare bwo mu nda.
• Ibibazo byo mu mutwe nko kwiheba.
• Ibibazo byo kwibuka no kwita ku bintu.

Reba aho ikibazo gitangiriye ahantu hamwe gishobora kugera. Ikibazo kiri mu mubiri wacu gishobora no kugira ingaruka ku zindi ngingo. Niyo mpamvu gusuzuma no kuvura hakiri kare ari ingenzi.

Ni gute indwara ya OFC ipimwa?

None se, ni gute muganga yasuzuma iyi ndwara `(Osteitis Fibrosa Cystica)`?

Ubwa mbere, umuganga wawe azagusuzuma neza amateka y’ubuzima bwawe . Azakubaza igihe umaze urwaye ibi bimenyetso, niba ufite izindi ndwara (nk'indwara z'impyiko) zishobora kugira ingaruka ku rugero rwa PTH yawe, n'imiti ufata. Hanyuma, azagukorera isuzuma ry’umubiri kugira ngo arebe niba hari ububabare bw'amagufwa, ububabare, cyangwa ubumuga.

Kugira ngo abaganga bemeze indwara, bashobora gukoresha ibizamini nka:

• Ibipimo by'amaraso: Ibi bipima imisemburo n'imyunyungugu. By'umwihariko, bipima urugero rwa hormone ya parathyroid (PTH), urugero rwa kalisiyumu, urugero rwa fosifore, urugero rwa vitamine D, na fosifore ya alkaline (enzyme iva mu magufwa). Muri OFC, urugero rwa PTH na fosifore ya alkaline rushobora kuba ruri hejuru cyane.
• Ibipimo by'inkari: Ushobora kandi kugenzura ingano ya kalisiyumu mu nkari zawe.
• Ibizamini byo gushushanya:
• Imirasire ya X: Ibi bishobora kwerekana uburyo amagufwa ari magufi, ibintu nka cysts, ndetse niba hari uduce duto cyane twacitsemo ibice (microfractures) cyangwa impinduka zidasanzwe mu magufwa (nk'ingufu zo mu gice cya subperiosteal).
• CT Scans (`CT - Computed Tomography scans`) cyangwa MRI Scans (`MRI - Magnetic Resonance Imaging scans`): Izi scans zigaragaza imiterere y'amagufwa mu buryo burambuye kurusha X-rays.

Ni ubuhe buryo bwo kuvura (OFC)?

Noneho reka tuvuge ku kuvura `(Osteitis Fibrosa Cystica)`. Ubuvuzi buterwa n'ubwoko n'uburemere bwa `(Hyperparathyroidism)` yateye `(OFC)`.

• Niba hyperparathyroidism y’ibanze iterwa na:
• Kenshi na kenshi, niba impamvu y'iyi ndwara ya `(OFC)` ari imikorere idasanzwe y'agahu ka `(Parathyroid)` (nk'ikibyimba), uburyo busanzwe bwo kuvura ni ukubaga gukuraho agahu cyangwa igice cyako (`Parathyroidectomy`) . Uku kubaga gushobora guhagarika gucukuka kw'amagufwa no gusubiza bimwe mu byangiritse by'amagufwa byamaze kubaho (`remineralization`). Ubusanzwe, tugira utunyangingo tune twa `(Parathyroid)`. Rero, iyo agahu kagize ikibazo kakuweho, utunyangingo dusigaye dushobora gukora imisemburo ya `(PTH)` umubiri ukeneye.

• Ku bantu badashobora kubagwa cyangwa bafite hyperparathyroidism ya kabiri:
• Kuvura impamvu nyamukuru: Urugero, niba impamvu ari ukubura vitamine D, hatangwa inyongeramusaruro za vitamine D. Niba ari indwara y'impyiko, ivurwa neza.
• Calcimimetics: Iyi miti isa na kalisiyumu iri mu maraso yawe. "Ishuka" imvubura ya parathyroid yawe kugira ngo ikore PTH nkeya. Cinacalcet ni imwe muri izo miti.
• Bisphosphonates: Iyi miti ikora mu kugabanya umuvuduko wo gutakaza amagufwa. Ubusanzwe ihabwa abantu bafite indwara ya osteoporosis. Ariko, ishobora no gufasha mu gihe gito abantu bafite OFC, cyane cyane gukomeza amagufwa mbere yo kubagwa.
• Vitamine D n'inyongeramusaruro za kalisiyumu: Ibi bitangwa uko bikenewe. Ariko, iyo urugero rwa kalisiyumu mu maraso ruri hejuru, inyongeramusaruro za kalisiyumu ntizitangwa.

Ni iki giteganijwe ku rwego rw'igihugu (OFC)?

Ni iki cyizere cy'iyi ndwara ya `(OFC)`? Mu by'ukuri, iyo habayeho kuvurwa no gufatwa neza, umusaruro mwiza ushobora kuboneka . Kuvurwa bishobora guhagarika kunanuka kw'amagufwa no gukomeza amagufwa (`remineralize`). Amagufwa yavunitse ashobora gukira no kugabanya ububabare. Ariko, iyo amagufwa afite ubumuga bukomeye, ashobora kutakira neza.

Ese (OFC) ishobora kwirindwa?

Ese birashoboka gukumira iyi ndwara `(Osteitis Fibrosa Cystica)`? Yego, ku rugero runaka birashoboka. Ikintu cy'ingenzi ni ukumenya no kuvura iyo ndwara `(Hyperparathyroidism)` hakiri kare.

• Ni ingenzi cyane gupimisha amaraso buri gihe , cyane cyane niba ufite ibintu bishobora gutuma umubiri wawe urwara impyiko. Ibi bizagufasha kumenya impinduka iyo ari yo yose mu rugero rwa kalisiyumu na PTH mu maraso yawe mbere yuko byangiza cyane.
• Nanone, vugana na muganga wawe kandi ukomeze kugira urugero rwiza rwa kalisiyumu na vitamine D.Kora icyo ugomba gukora. Urugero, niba utuye mu gace katarimo urumuri rw'izuba rwinshi mu gihe cy'itumba, ushobora gukenera gufata inyunganiramirire ya Vitamine D. Muganga wawe azakubwira kandi uburyo bwo kubona intungamubiri ukeneye mu biribwa urya.

Wibuke ko uko indwara ya `(Hyperparathyroidism)` imenyekana vuba kandi igavurwa, niko amahirwe yo kurwara `(Osteitis Fibrosa Cystica)` aba make.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ububabare mu magufwa, ububabare, cyangwa igufwa rikumva rigiye kuvunika , hita ubonana na muganga. Nanone, niba ufite ibimenyetso bya hyperparathyroidism (nk'umunaniro, isesemi, no kwihagarika kenshi) navuze mbere, bibwira muganga wawe . Niba usanzwe ufite hyperparathyroidism, ni byiza ko ujya upima amaraso yawe buri gihe kugira ngo urebe urugero rwa kalisiyumu na PTH, nk'uko muganga wawe agusaba.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Niba urwaye indwara ya `(Osteitis Fibrosa Cystica)`, byaba byiza ubajije muganga wawe ibi bibazo:

• Ese imimerere yanjye imeze nabi gute?
• Ni ubuhe buryo bwo kuvura mfite? Ni ibihe byiza n'ibibi bya buri kimwe?
• Ese ni byiza gufata inyunganiramirire? Ubwoko bw'inyongeramusaruro?
• Ese nkeneye kubagwa? Niba ari uko bimeze, ni iki nshobora kwitega nyuma yaho?
• Ni izihe mpinduka mu mirire nakora zamfasha?
• Ni gute iki kibazo kizagira ingaruka ku buzima bwanjye bwa buri munsi?

Hanyuma, ingingo nke z'ingenzi

Rero, ngomba kukubwira ibi. Amagufwa yawe adakomeye n'ububabare bishobora kugira ingaruka zikomeye ku buzima bwacu bwa buri munsi. Niba amagufwa yawe yavunitse byoroshye, ushobora no kumva ushaka gusiba imirimo imwe n'imwe. Niba ufite ibimenyetso nko kunanirwa, intege nke, isesemi, no kwihagarika kenshi, bishobora kuba "Hyperparathyroidism" cyangwa ingorane zayo "OFC".

Niba ufite kimwe muri ibi bimenyetso, nyamuneka jya kwa muganga vuba. Uko umenya indwara vuba kandi ukayivura, niko ingaruka zayo ku magufwa yawe zigabanuka. Ubuzima bwawe ni ingenzi cyane kuri wewe. Rero ubwitaho.

Osteitis Fibrosa Cystica, OFC, Indwara y'amagufwa, Parathyroid, PTH Hormone, Hyperparathyroidism, Ububabare bw'amagufwa